Individual provider Active NPI

Michelle Mendoza Castillo, LCSW

  • Clinical Social Worker
  • McAllen, TX
National Provider Identifier
1548041577
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104575 Issued in TX
Practice address
13804 N 37TH St
McAllen, TX 78504-0629
Phone
(956) 330-4212
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104575 TX Primary

Addresses

Primary practice location

13804 N 37TH St
McAllen, TX 78504-0629

Mailing address

13804 N 37TH St
McAllen, TX 78504-0629
Phone (956) 330-4212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229002221 TX Practitioner - Clinical Social Worker 7214372218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alivio Counseling Services PCGroup PAC ID 6103099338, 5 clinicians

Practice addresses (Care Compare)

3911 N 10TH St
Suite D
McAllen, TX 78501-2037
Phone (956) 595-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104575TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alivio Counseling Services PC Clinical CurrentSince Jan 20, 2024 Accepting new patients

Locations

3911 N 10th St
Ste D
McAllen, TX 78501
Phone (956) 595-0068

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1548041577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13804 N 37TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040629",
            "telephone_number": "956-330-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13804 N 37TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040629",
            "telephone_number": "956-330-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MICHELLE",
        "middle_name": "MENDOZA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.